Impact of childbirth on women's sexuality in the first year after the delivery

Zgliczyńska, Magdalena; Zasztowt-Sternicka, M.; Kosińska-Kaczyńska, Katarzyna; Szymusik, Iwona; Pazdzior, Dominika; Durmaj, Aneta; Szlachta, Magdalena; Bartnik, Paweł; Wielgoś, Mirosław

doi:10.1111/jog.14583

Cited by 8 publications

(17 citation statements)

References 56 publications

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“…Of the 31 included studies, 9 were cross-sectional studies (4966 women; including at least 1591 primiparous women), 3 were case–control studies (368 women; including at least 357 primiparous women), 5 were retrospective cohort studies (1872 women; including at least 474 primiparous women) and 14 were prospective cohort studies (4217 women; including at least 3338 primiparous women). The studies were published between 2005 and 2022, originating from 17 countries including Turkey [ 59 , 60 , 61 , 62 , 63 , 64 ], the United States of America [ 65 , 66 , 67 , 68 ], Iran [ 69 , 70 , 71 , 72 ], Australia [ 73 , 74 ], Austria [ 75 ], Egypt [ 76 ], Poland [ 77 ], Germany [ 78 ], Japan [ 79 ], Italy [ 80 , 81 ], Switzerland [ 82 ], Hungary [ 83 ], China [ 84 ], Taiwan [ 85 ], Sweden [ 86 ], Israel [ 87 ] and Portugal [ 88 ]. One study did not disclose the country of origin of the research [ 89 ].…”

Section: Resultsmentioning

confidence: 99%

“…In the included studies, six different measures were used to assess sexual functioning. The FSFI was used in 25 studies [ 59 , 60 , 62 , 63 , 64 , 65 , 66 , 67 , 69 , 70 , 71 , 72 , 74 , 75 , 76 , 77 , 80 , 81 , 82 , 83 , 84 , 85 , 87 , 88 , 89 ]. A combination of the FSFI and SAQ was used in one study [ 78 ].…”

Section: Resultsmentioning

confidence: 99%

“…The PISQ-12 was used in one study [ 86 ]. Data in the included studies were collected by administering the valid measures of sexual function in the following ways: four studies used the postal system [ 73 , 74 , 79 , 82 ], nine studies used face to face structured interviews, or self-reporting in person at the clinics [ 59 , 60 , 61 , 62 , 63 , 64 , 71 , 72 , 84 ], two studies used telephone interviews to complete the questionnaire [ 65 , 87 ], four studies used online forums or web/based questionnaires [ 77 , 83 , 86 , 88 ], one study used a combination of telephone and in person questionnaires [ 68 ], and eleven studies did not specify how they administered the measures to the participants [ 66 , 67 , 69 , 70 , 75 , 76 , 78 , 80 , 81 , 85 , 89 ].…”

Section: Resultsmentioning

confidence: 99%

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The Impact of Mode of Birth, and Episiotomy, on Postpartum Sexual Function in the Medium- and Longer-Term: An Integrative Systematic Review

Fanshawe

Jonge

Ginter

et al. 2023

IJERPH

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(1) Background: Sexual function can be affected up to and beyond 18 months postpartum, with some studies suggesting that spontaneous vaginal birth results in less sexual dysfunction. This review examined the impact of mode of birth on sexual function in the medium- (≥6 months and <12 months postpartum) and longer-term (≥12 months postpartum). (2) Methods: Literature published after January 2000 were identified in PubMed, Embase and CINAHL. Studies that compared at least two modes of birth and used valid sexual function measures were included. Systematic reviews, unpublished articles, protocols and articles not written in English were excluded. Quality was assessed using the Newcastle Ottawa Scale. (3) Results: In the medium-term, assisted vaginal birth and vaginal birth with episiotomy were associated with worse sexual function, compared to caesarean section. In the longer-term, assisted vaginal birth was associated with worse sexual function, compared with spontaneous vaginal birth and caesarean section; and planned caesarean section was associated with worse sexual function in several domains, compared to spontaneous vaginal birth. (4) Conclusions: Sexual function, in the medium- and longer-term, can be affected by mode of birth. Women should be encouraged to seek support should their sexual function be affected after birth.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The Impact of Mode of Birth, and Episiotomy, on Postpartum Sexual Function in the Medium- and Longer-Term: An Integrative Systematic Review

Fanshawe

Jonge

Ginter

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…It suggests that with the experience of emotional intimacy, women may be receptive to sexual activity and may consequently The FSFI scale was not developed nor validated explicitly with postpartum women in mind, and thus its use in measuring sexual health issues in this discrete population, we argue, is questionable. For example, a study carried out in Poland administered a survey to 433 women between 10 and 52 weeks after birth in order to compare FSFI scores before and after birth [32]. Based on the results which showed that 44% of women scored significantly lower in their overall FSFI scoring after birth compared to before birth, the authors concluded that there was a 'strikingly' increase in sexual problems after birth.…”

Section: Prevalence Of Postpartum Sexual Health Issuesmentioning

confidence: 99%

“…Based on the results which showed that 44% of women scored significantly lower in their overall FSFI scoring after birth compared to before birth, the authors concluded that there was a 'strikingly' increase in sexual problems after birth. They also determined that 45.3% (n = 196) of women postpartum compared to 17.1% (n = 74) pre-pregnancy had female sexual dysfunction [32]. Classifying women as being sexually dysfunctional on FSFI results alone ignores the complexity of postpartum sexual health and the potential influence of the wider context of women's lives and relationships, including the impact that adapting to parenting roles may have on intimate relationships.…”

Section: Prevalence Of Postpartum Sexual Health Issuesmentioning

confidence: 99%

Exploring the Complexities of Postpartum Sexual Health

O’Malley

Higgins

Smith

2021

Curr Sex Health Rep

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Purpose of Review This paper explores the complexities of postpartum sexual health. It answers the question on what should be considered normal sexual health after birth and what should be considered abnormal. Recent Findings Many women experience physical sexual health issues in the months after birth, such as dyspareunia, lack of vaginal lubrication and a loss of sexual desire. For some women, these issues can persist 12 and 18 months after birth. Mode of birth is not associated with long-term dyspareunia 6 and 12 months after birth. There is conflict seen in the literature with regard to the association between perineal trauma and short-and long-term sexual health. Breastfeeding and the existence of pre-existing sexual health issues are strongly predictive of sexual health issues at 6 and 12 months after birth. Women have described a discordance in their sexual desire to that of their partner, for some this caused distress but for couples who communicated their feelings of sexual desire, concern over baby’s well-being and adapting to parenthood distress was not experienced. Resuming sexual intercourse after birth was not spontaneous, women considered their mode of birth, the presence of perineal trauma and their physical and emotional recovery from birth. One fifth of women had not resumed sexual intercourse 12 weeks after birth. Summary A discussion is presented on the challenges associated with viewing postpartum sexual health from a physical perspective only, and why prevalence studies alone do not capture the nuances of postpartum sexual health. Future research needs to take account of the psychosocial and relational dimensions of postpartum sexual health as well as physical dimensions.

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The relationship between traumatic childbirth perception, desire to avoid pregnancy, and sexual quality of life in women

Calpbinici

2024

Intl J Gynecology & Obste

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ObjectiveTo identify factors influencing women's perceptions of traumatic childbirth (TCP) and to determine the relationship between TCP, desire to avoid pregnancy, and sexual quality of life.MethodsA descriptive and correlational research study was designed. Data were collected from 225 women aged between 18 and 45 years old. A Demographic Information Form, the Desire to Avoid Pregnancy Scale (DAP), the Sexual Quality of Life Questionnaire‐Female (SQLQ‐F), and the Perception of Traumatic Childbirth Scale (PTCS) were used for data collection.ResultsWomen who were not employed, had given birth previously, and did not plan their last pregnancy tended to have higher levels of TCP. Conversely, women who did not experience health problems in their last pregnancy and recalled their last childbirth as very comfortable and happy tended to have lower levels of TCP. A very weak, statistically significant, positive correlation was found between the mean DAP and PTCS scores (r = 0.168, P < 0.05). A very weak, statistically significant, negative correlation was found between the mean SQLQ‐F and PTCS sores (r = −0.138, P < 0.05). A 1‐unit increase in TCP was associated with a 0.005‐unit increase in the desire to avoid pregnancy and a 0.094‐unit decrease in sexual quality of life.ConclusionTCP in women is associated with an increase in the desire to avoid pregnancy and a decrease in sexual quality of life. It is recommended to identify women with high levels of TCP, determine factors contributing to this perception, and plan appropriate nursing interventions accordingly.

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Impact of childbirth on women's sexuality in the first year after the delivery

Cited by 8 publications

References 56 publications

The Impact of Mode of Birth, and Episiotomy, on Postpartum Sexual Function in the Medium- and Longer-Term: An Integrative Systematic Review

The Impact of Mode of Birth, and Episiotomy, on Postpartum Sexual Function in the Medium- and Longer-Term: An Integrative Systematic Review

Exploring the Complexities of Postpartum Sexual Health

The relationship between traumatic childbirth perception, desire to avoid pregnancy, and sexual quality of life in women

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